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                                              Jumpers Knee  Guide -Welcome to cidpusa.org

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Jumpers Knee

 
 

What is jumpers knee?


The patella tendon (or ligament as it is sometimes called) connects the kneecap to tibia bone. Under extreme stresses such as those involved in jumping a partial rupture can occur. This can often lead to inflammation and degeneration of the tissue. Inflammation can also result from overuse. Injury to this often affects athletes involved in jumping or throwing sports. Weight lifters, Tennis and Badminton players can also be affected. Rest in the early stages is important.

What are the symptoms?

 

  • Pain at the bottom of the kneecap especially when pressing in.
  • Aching and stiffness after exertion.
  • Pain when you contract the quadriceps muscles.



    What the athlete can do depends on the extent or grade of the injury:

    Grade 1: Pain only after training

     

  • Continue training but apply ice or cold therapy to the injury after each training session
  • Wear a heat retainer or support
  • See a sports injury specialist / therapist who can apply sports massage techniques and advise on rehabilitation. An eccentric strengthening programme is generally recommended

    Grade 2: Pain before and after exercise but pain reduces once warmed up.

     
  • Modify training activities to reduce the load on the tendon. Stop jumping or sprinting activities and replace them with steady running or swimming / running in water if necessary.
  • See a sports injury specialist / therapist who can apply sports massage techniques and advise on rehabilitation.

    Grade 3: Pain during activity which prevents you from training / performing at your best.

     
  • Rest completely from the aggravating activity. Replace it with swimming / running in water (if pain allows).
  • See a sports injury specialist / therapist who can apply sports massage techniques and advise on rehabilitation.

    Grade 4: Pain during every day activities which may or may not be getting worse.

     
  • Rest for a long period of time (at least 3 months!).
  • See a sports injury specialist / therapist who can apply sports massage techniques and advise on rehabilitation.
  • If the knee does not respond to rehabilitation then consult an Orthopaedic Surgeon as surgery may be required.

    A Sports Injury Specialist or Doctor could:
  • Prescribe anti-inflammatory medication e.g. ibuprofen.
  • Use ultrasound or laser treatment.
  • Use cross friction massage techniques.
  • Prescribe and supervise a full rehabilitation programme.
  • A Surgeon can operate.

  •  

    • Interactions with Drugs
    • Interactions with Herbs and Dietary Supplements

    References

     

    Resolving Knee Conditions with Homeopathic Remedies

    Homeopathic remedies pose a significant advantage over most over-the-counter and prescription medications in the treatment of knee injuries and pain. The knee is notorious in its ability to heal at a drawn-out pace. Steroid injections and non-steroidal anti-inflammatory drugs, while potent in suppressing inflammation and pain, are known to greatly hinder cartilage and joint connective tissue repair. These drugs ultimately cause weakening of the joints and a higher likelihood of subsequent injury and arthritic changes. Armed with that information, sufferers should consider therapies that support a return of structural integrity as well as pain-free function. Homeopathy can be the ticket to fast-track recovery.

     

    Because the knee joint is “boney” (i.e. not covered by thick muscle) and endures tremendous repetitive weight-bearing forces, it is particularly prone to trauma and injury. In particular, its hinge design is not conducive to twisting motions, and excessive torsion readily causes injury to ligaments and the boney cartilage surfaces. Structures often afflicted by damage and inflammation include the patella tendon (Jumper’s knee), bursae, collateral and capsule ligaments, femoral and meniscus cartilage, and the periostium bone sheath – from direct blows to the bones.

     

    People familiar with homeopathic healing will not be surprised to read that Arnica is the first remedy to give for any acute injury to the joints. Mild to moderate pain should respond well to Arnica. Severe pain or trauma –such as a torn meniscus or cruciate ligament- will be treated better with a higher potency. Rhus tox very often will be a good remedy to give a day or two after the trauma and initial treatment with Arnica. With improvement, Rhus can be given to ensure healing momentum is maintained within the joint. Apis is particularly indicated when there is a significant amount of swelling, as in bursitis.

     

    Ruta graveolens is a classic ligament and tendon injury remedy either with or without bursitis. It is better with heat applications. Pain and stiffness follows exposure to cold. Rhus tox is also a good remedy for conditions that are worse with cold and ameliorated with heat, but is better indicated when the pain is present upon initial movement and gets progressively better as the joint continues to move and limber up.As a course of treatment, Ruta may be taken morning and night along with the tissue salts, Calc carb, Calc phos and Silicea. After a couple weeks, substitute Ruta in the above regimen. Two week later, discontinue the tissue salts and take single daily dose of Ruta for a week or two.

     

    Other remedies to consider include Bryonia, for severe pain with slightest movement, and Ledum, which is beneficial for dark bruising that is unresponsive to arnica. Ledum is well suited when injuries feel cold to touch and are alleviated by cold applications.

    Dr. Thaddeus Jacobs

     

    Herbal Treatments

    Some herbal treatments for knee pain may be taken orally, while other herbs are applied topically in the form of a paste or cream. The cause of your knee pain largely dictates the type of herbs used. If you have knee osteoarthritis, for example, you may benefit from using boswellia, ginger, turmeric and white willow bark. Bromelain is believed to be an effective herbal remedy for soft tissue inflammation and pain relief. In her book "Herbal Medicine From the Heart of the Earth," naturopathic doctor and herbalist Sharol Tilgner notes that arnica, calendula and rue are particularly helpful for musculoskeletal injuries.

    A Popular Herbal Treatment

    One of the most popular herbal treatments for knee pain is turmeric. According to Phyllis A. Balch, a naturopathic physician and author of "Prescription for Nutritional Healing," turmeric contains a substance called curcumin, which possesses anti-inflammatory and pain-relieving actions. Balch recommends a dose of 600 mg each day, although you should always talk with your doctor about appropriate dosage before using turmeric for your knee pain. Turmeric is also used as a seasoning and is the principal ingredient in curry powder.



     

    1. Exercise and weight loss. Keeping a healthy weight is key, explains Suzanne Moore, a physical therapist practicing in Maryland, because the extra weight increases the stress on the joint. A study released this week showed that obese people had a 65 percent lifetime risk of developing osteoarthritis in comparison with the 35 percent risk for people of normal weight. One study showed that people who lost an average of about 10 pounds significantly reduced pain and improved mobility in comparison with those who didn't. Other research has proved that strength training, as well as low-impact exercise such as bicycling or swimming, lessens pain.

    2. Physical therapy. The amount of pain people with knee arthritis feel is directly related to muscle weakness. That's why a comprehensive physical therapy program that strengthens quadriceps can go a long way, experts say, especially for people that have difficulty motivating themselves to exercise on their own. Physical therapists can also correct misaligned knees, a problem that can worsen pain, using wedged insoles and other orthotic devices.